Solid-pseudopapillary pancreatic neoplasm incidentally diagnosed in an 8-year-old boy: A case report

Abstract

A solid pseudopapillary neoplasm (SPN) of the pancreas is a low-grade malignancy that usually occurs in young women, and surgical excision remains the first-choice treatment. We describe a boy who was incidentally diagnosed with a pancreatic tumor with a high index of clinical suspicion for a pancreatic SPN, during follow-up after congenital biliary dilatation. However, considering that the patient was asymptomatic and that this tumor is rare in male children, he underwent follow-up without further evaluation. The tumor showed enlargement, and enucleation was performed, 2 years later. Intraoperatively, we observed no invasion or metastasis to other organs; however, we should reflect on that. Contrast-enhanced ultrasonography was useful for differentiation of this lesion from other pancreatic tumors.